PETITIONER: � RESPONDENT: Name: � Name: Address: � Address: � � en-USTelephone: en-US(include area code) � Telephone: en-US(include area code)en-US Email: � Email: DOB: � DOB: SSN: � SSN: Relationship to Respondent: � Relationship to Petitioner: en-USFor ALL OTHER PARTIES to this case: please list below the name, current address, date of birth (DOB), social security en-USnumber (SSN), and relationship to the Petitioner, of any other parties to this action, or children of the Petitioner or Respondent. en-USIf there is not enough room below, please attach a separate sheet with all the information requested.en-USOTHER PARTIES/CHILDREN: Name: � Name: Address: � Address: � en-USTelephone: en-US(include area code) � Telephone: en-US(include area code)en-US DOB: � DOB: SSN: � SSN: Relationship to Respondent: � Relationship to Petitioner: Name: � Name: Address: � Address: � en-USTelephone: en-US(include area code) � Telephone: en-US(include area code)en-US DOB: � DOB: SSN: � SSN: Relationship to Respondent: � Relationship to Petitioner: en-USen-US en-USen-USen-USen-USen-US CIR�cCUIT en-USen-US DISTRI�cCT en-USen-US FAMILY COURT CASE DATA �IIN�fFORMATION �SSHEET en-USAOC-FC-3en-USen-USCommonwealth of Kentuckyen-USCourt of Justice en-US www.courts.ky.goven-USen-USen-USen-US � en-USen-US Petitioner � en-USen-US Respondenten-USen-USCase #: en-USCounty: en-USen-USNOTICE TO FILING PARTY:en-US en-USA REDACTED en-USen-USen-US lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE en-USen-USen-USen-USSignature of Preparer/Relationship to Petitioneren-USPrint Name: en-USAddress: en-USen-USTelephone: en-US(include area code)en-US American LegalNet, Inc. www.FormsWorkFlow.com